Spinal Stabilization
Spinal stabilization systems are disclosed having spanning portions extending between and securable to pedicle screw assemblies, the spanning portions have stiffness characteristics that may be variable or selectively adjustable, and/or have non-linear behavior with respect to force versus distortion. Additionally, the systems may utilize a plurality of spanning portions in which two or more of the spanning portions have different stiffness characteristics.
1 . A spinal stabilization system securable with a plurality of vertebrae, the system comprising:
at least one anchor for each of at least two vertebrae; and
a spanning structure adapted to extend between and be securable with the anchors,
wherein the spanning structure has an adjustable mechanical performance characteristic,
wherein the mechanical performance characteristic is a compression/expansion stiffness,
wherein the spanning structure includes a piston assembly compressible and expandable along a longitudinal axis thereof, and
wherein the piston assembly is provided with a fluid and a damper.
2 . The spinal stabilization system of claim 1 , wherein the fluid has a high viscosity.
3 . The spinal stabilization system of claim 1 , wherein the fluid is substantially incompressible.
4 . The spinal stabilization system of claim 1 , wherein the fluid is of mixed phases, a portion of the fluid being compressible gas and a portion of the fluid being incompressible liquid.
5 . The spinal stabilization system of claim 1 , wherein the fluid is a non-Newtonian fluid.
6 . The spinal stabilization system of claim 1 , wherein the fluid is a gas.
7 . The spinal stabilization system of claim 1 , wherein the amount of fluid of the piston assembly is adjustable to adjust the mechanical performance characteristic of the spanning structure.
8 . The spinal stabilization system of claim 7 , further including a reservoir for the fluid, the reservoir in communication with the piston assembly, wherein the mechanical performance characteristic of the spanning structure is adjustable by increasing the fluid in the piston assembly by delivering fluid thereto from the reservoir, and wherein the mechanical performance characteristic is adjustable by decreasing the fluid in the piston assembly by delivering fluid therefrom to the reservoir.
9 . The spinal stabilization system of claim 8 , wherein the piston assembly and reservoir are connected by at least two one-way valves for fluid transfer therebetween.
10 . The spinal stabilization system of claim 8 , wherein the reservoir is a compressible bladder implanted subcutaneously.
11 . A spinal stabilization system securable with a plurality of vertebrae, the system comprising:
at least one anchor for each of at least two vertebrae;
spanning structures extending between and securable with the anchors, at least one spanning structure including a piston assembly in communication with a fluid reservoir, wherein the mechanical performance characteristic of the piston assembly is adjustable after the spanning structure is secured with its respective anchors by:
increasing the fluid in the piston assembly by delivering fluid thereto from the reservoir; and
decreasing the fluid in the piston assembly by delivering fluid therefrom to the reservoir.
12 . The spinal stabilization system of claim 11 , wherein the reservoir is a compressible bladder implanted subcutaneously.
13 . The spinal stabilization system of claim 12 , wherein the piston assembly is connected to the reservoir by at least two one-way valves adapted for fluid transfer between the piston assembly and the reservoir.
14 . The spinal stabilization system of claim 11 , wherein the piston assembly includes an elastic member that is compressible.
15 . The spinal stabilization system of claim 14 , wherein the elastic member is one of:
located externally to the piston assembly between the piston assembly and an anchor; and
located within a fluid chamber of the piston assembly.
16 . A spinal stabilization system securable with a plurality of vertebrae, the system comprising:
at least one anchor for each of at least two vertebrae; and
a spanning structure adapted to extend between and be securable with the anchors, the spanning structure including a piston assembly with a fluid and an elastic member, the piston assembly compressible and expandable along a longitudinal axis thereof, wherein the piston assembly is adapted to receive and release fluid to adjust the compression/expansion stiffness of the spanning structure.
17 . The spinal stabilization system of claim 16 , wherein the piston assembly is calibrated for a desired amount of compression stiffness.
18 . The spinal stabilization system of claim 16 , further comprising a dashpot damping structure within the fluid of the piston assembly.
19 . The spinal stabilization system of claim 16 , wherein the elastic member is located between a portion of the piston assembly and an anchor.
20 . The spinal stabilization system of claim 16 , wherein the elastic member is located within a fluid chamber of the piston assembly